Reflections on Practice: Harm Reduction

Street nurses Caroline Brunt and Janine Stevenson, nursing ethicist Paddy Rodney, and nursing-practice consultant Mary Adlersberg talk about the importance of learning and legitimizing nursing harm-reduction practices.

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The nurses meet Becky, give her a mouth pieces for a crack pipe, and chat about her pregnant daughter, Liz. Later, they meet Tracey in a hotel and discuss her upcoming test results.

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Natural helper Tina and peer outreach worker Earle Crow talk about how they bridge the gap between the street community and the nurses.

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Street nurse Liz James explains how to work with someone who’s in an unsafe situation but doesn’t want help.

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Street nurses Caroline Brunt and Liz James inject Lee, a sex worker, with an antibiotic for syphilis. They also call Lee’s boyfriend and arrange to test him as well.

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Nursing-practice consultant Mary Adlersberg and nursing ethicist Paddy Rodney reflect on how the nurse incorporates teaching and health promotion while supporting safe injection.

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Street nurse Caroline Brunt and nursing-practice consultant Mary Adlersberg offer safety strategies for nurses working on the streets.

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Street nurse Caroline Brunt talks about what happens when her health-care agenda clashes with the needs of the person she is caring for.

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Nursing-practice consultant Mary Adlersberg addresses addiction, intervention, and recovery within the nursing profession.

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Bevel Up follows street nurses as they reach out to people working in the sex trade, and people who use drugs in the alleys and hotels of Vancouver’s inner city. Most importantly the nurses reflect on the attitudes they bring to their work—attitudes that can make or break their relationships with the people to whom they provide practical, non-judgemental health care on a daily basis.

The Bevel Up Educational Playlists offer viewers a dynamic way to learn through more than four hours of additional footage, interviews and a Teachers Guide. The interactive resource gives students and instructors in the healthcare field access to the experiences of practitioners who work with people who use drugs in Vancouver’s Downtown Eastside.

For more information, images, and clips, click here.

Street nurses Caroline Brunt and Liz James talk about how providing health care on the street is like throwing people a lifeline.

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*Explore the Teacher's Guide for this chapter.